South African Dyslipidaemia Guideline Consensus Statement

  • E Q Klug The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
  • F J Raal The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
  • A D Marais The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
  • M-R Taskinen The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
  • A J Dalby The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
  • C Schamroth The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
  • N Rapeport The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
  • D Jankelow The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
  • D J Blom The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
  • R Catsicas The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
  • D A Webb The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)

Abstract

The European Society of Cardiology together with the European Atherosclerosis Society published updated dyslipidaemia guidelines in 2011. SA Heart and the Lipid and Atherosclerosis Society of Southern Africa officially adopt these guidelines. This statement adapts aspects of the guidelines to the South African situation. Using the updated Framingham risk charts, interventional strategies are based according to the cardiovascular risk score and low-density lipoprotein cholesterol (LDL-C) levels. The Framingham risk score refers to the 10-year risk of any cardiovascular event, and includes four categories of risk. Treatment targets are those of the European guidelines. The LDL-C goal is 1.8 mmol/l for the very high-risk group (>30%), 2.5 mmol/l for the high-risk group (15 - 30%), and 3 mmol/l for those below 15% risk. Intensive management of dyslipidaemia in South Africa will significantly reduce the cardiovascular disease health burden.

Author Biographies

E Q Klug, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
MBBCh, MMed, FCP (SA) Task Force Chairman
F J Raal, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
FCP (SA), FRCP, FRCPC, MMed, PhD Task Force Member
A D Marais, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
MB ChB, FCP (SA) Task Force Member
M-R Taskinen, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
MD (Finland) Task Force Member
A J Dalby, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
MB ChB, FCP (SA), FACC Task Force Member
C Schamroth, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
MB BCh, MMed, FCP (SA), FACC Task Force Member
N Rapeport, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
MB BCh, FCP (SA), FACP (Hon) Task Force Member
D Jankelow, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
MB BCh, FCP (SA) Task Force Member
D J Blom, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
MB ChB, MMed, FCP (SA), PhD Task Force Member
R Catsicas, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
RD (SA) Task Force Member
D A Webb, The South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA)
BSc (Hons), MB BCh Task Force Member